DR. EUGENE PAK (NPI# 1407891658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407891658 |
| Entity Type | Individual |
| Full Name | DR. EUGENE PAK |
| Credential | M.D. |
| Practice Address |
11406 Loma Linda Dr Ste 516 Loma Linda CA 92354-3711 |
| Mailing Address |
11406 Loma Linda Drive Suite 516 Loma Linda CA 92354 |
| Practice Telephone | (909) 558-6204 |
| Mailing Telephone | 9095586204 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
C138763 | CA | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD426970 | PA | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
239973 | NY | Allopathic & Osteopathic Physicians |
| Y | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
C138763 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
AM0443173-6259 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02798103 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174977037 | Eugene Pak | Optometrist | 3978 N Williams Ave, Portland, OR 97227-1445 | 2016-04-18 |
| Street Address |
11406 LOMA LINDA DR STE 516 |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92354-3711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1932725645 | Dev Priya Singhvi | Student in an Organized Health Care Education/Training Program | 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 | 2020-06-18 |
| 1750901278 | Angela N Torres | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-24 |
| 1548899230 | Holistic Physical Therapy Inc. | Physical Therapist | 25003 Starr Str, Loma Linda, CA 92354 | 2020-04-03 |
| 1508494071 | Eric Allen | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Pediatrics, General, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-03-31 |
| 1730640244 | Rose Valley Rcfe | Assisted Living Facility | 11574 Poplar St, Loma Linda, CA 92354 | 2019-03-27 |
| 1336633676 | David A Lawrence | Student in an Organized Health Care Education/Training Program | Loma Linda University Hospital, 11234 Anderson St., Loma Linda, CA 92354 | 2018-06-20 |
| 1205329547 | Rachael Nicole Spady | Student in an Organized Health Care Education/Training Program | Loma Linda University Health - Obstetrics & Gynecology, 11234 Anderson St, Loma Linda, CA 92354 | 2018-06-12 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| Find all providers in zip 92354 | ||||
| Taxonomy Code | 2084P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Pain Medicine |
| A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology. A subspecialty certificate was approved by ABMS in 1998. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306161963 | Kasra Maasumi | Psychiatry & Neurology | 11370 Anderson St Ste B-100, Loma Linda, CA 92354-3450 | 2010-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073144762 | Integrated Neurology & Pain Management, PC | Psychiatry & Neurology | 155 Glen Cove Marina Rd E Ste 100, Vallejo, CA 94591-7284 | 2020-01-31 |
| 1700423704 | Estera Luminita Heller | Psychiatry & Neurology | 1510 W Whittier Blvd # 54, La Habra, CA 90631-3617 | 2019-12-09 |
| 1669965885 | California Centers for Psychiatric Wellness and Health | Psychiatry & Neurology | 1307 W 6th St Ste 105, Corona, CA 92882-1644 | 2018-06-12 |
| 1396004594 | Hirsh Kaveeshvar | Psychiatry & Neurology | 23861 Mcbean Pkwy Ste B18, Valencia, CA 91355 | 2012-05-08 |
| 1548450448 | Aimee C Chagnon | Psychiatry & Neurology | 357 Perkins St, Suite 206, Sonoma, CA 95476-6826 | 2007-07-26 |
| 1902005713 | James David Weiss | Psychiatry & Neurology | 624 Frederick Street, Santa Cruz, CA 95062 | 2007-07-12 |
| 1467672485 | Fadi Alhatem | Psychiatry & Neurology | 250 N Robertson Blvd Ste 505, Beverly Hills, CA 90211 | 2007-05-01 |
| 1366510489 | Michael Harvey Moskowitz | Psychiatry & Neurology | 3 Harbor Dr, Suite 115, Sausalito, CA 94965-1454 | 2006-11-30 |
| 1497768170 | Thomas Benedict Bryan | Psychiatry & Neurology | 3351 M Street, Ste 120, Merced, CA 95348 | 2006-08-14 |
| 1235118068 | California Headache and Pain Specialist, Inc. | Psychiatry & Neurology | 420 W. Las Tunas Dr., San Gabriel, CA 91776 | 2006-01-11 |
| Find all providers with the same taxonomy | ||||
| City | LOMA LINDA |
| Zip Code | 92354 |
Please comment or provide details below to improve the information on DR. EUGENE PAK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.